A 24-year-old woman presents 6 hours after ingesting an unknown quantity of acetaminophen in a suicide attempt. She is currently asymptomatic. Her ser...

Question

A 24-year-old woman presents 6 hours after ingesting an unknown quantity of acetaminophen in a suicide attempt. She is currently asymptomatic. Her serum acetaminophen level at 4 hours post-ingestion was 180 µg/mL (above the treatment line on the Rumack-Matthew nomogram). What is the most appropriate management?

Accepted Answer

Start N-acetylcysteine infusion

Answer

Observe only; treatment is not required if asymptomatic

Answer

Administer activated charcoal only

Answer

Start haemodialysis

Answer

Discharge with outpatient follow-up

ca-mccqe1 MCQ (SBA): Acetaminophen overdose